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Breakfast is at 8am and school
begins at 9am. Most patients are free to walk
around the unit and grounds as they wish, but under certain
circumstances we might think that the child needs supervision
of some sort. The supervision could be for 3 hours after
meals if we suspect someone has been vomiting, or overnight
supervision for children who we feel might abscond, exercise
or drink water. Some children would exercise endlessly
if we allowed them to roam freely and for several days
at a time we might need to supervise them 24 hours a day.
We try to do this as infrequently as possible, as we understand
that it interferes with their activities and friendships.
Nevertheless, compulsive exercising is often part of anorexia
or bulimia and needs to be dealt with.
The first school session is from 9-10.30am,
there is then a half hour break for snacks. School continues
from 11-12 and there is then an hours exercise for
those fit enough to participate.
Lunch is at 1pm and school continues
from 2-3.30pm. Afternoon snack time is from
3.30pm - 4pm. Between 4pm and 6pm there are activities
of some sort every day. Supper is at 6pm and there are
usually more activities in the evening.
After
supper children are free to watch television, play
video games, write letters etc.
Bedtime is dependent on age, but all the children
are in bed by 10.30pm |
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